Provider Demographics
NPI:1114761947
Name:RISE UP THERAPY SOLUTIONS, LLC
Entity type:Organization
Organization Name:RISE UP THERAPY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOOKWALTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:814-549-0937
Mailing Address - Street 1:3201 STATE ROUTE 257 STE 3
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-2429
Mailing Address - Country:US
Mailing Address - Phone:814-549-0937
Mailing Address - Fax:
Practice Address - Street 1:3201 STATE ROUTE 257 STE 3
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2429
Practice Address - Country:US
Practice Address - Phone:814-549-0937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty